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工作压力与领导满意度对遭遇精神科患者攻击的护士的影响:一项横断面调查研究

Work Stress and Satisfaction with Leadership Among Nurses Encountering Patient Aggression in Psychiatric Care: A Cross-Sectional Survey Study.

机构信息

Department of Nursing Science, University of Turku, 20014, Turku, Finland.

School of Nursing, Hong Kong Polytechnic University, Hong Kong, China.

出版信息

Adm Policy Ment Health. 2019 May;46(3):368-379. doi: 10.1007/s10488-018-00919-6.

DOI:10.1007/s10488-018-00919-6
PMID:30684111
Abstract

We examined the associations between work stress (job strain, effort-reward imbalance), perceived job insecurity, workplace social capital, satisfaction with leadership and working hours in relation to the likelihood of encountering patient aggression (overall exposure, assaults on ward property, mental abuse, physical assaults). We conducted a cross-sectional survey for nurses (N = 923) in 84 psychiatric units. Both work stress indicators were associated higher odds for different types of patient aggression. Poorer satisfaction with leadership was associated with higher odds for overall exposure to patient aggression. These findings were robust to adjustment for several nurse and work characteristics, and unit size.

摘要

我们研究了工作压力(工作紧张、付出与回报失衡)、感知工作不安全感、工作场所社会资本、对领导的满意度与工作时间与遭遇患者攻击的可能性之间的关系(总体暴露、攻击病房财产、精神虐待、身体攻击)。我们对 84 个精神病病房的 923 名护士进行了横断面调查。这两个工作压力指标都与不同类型的患者攻击的更高几率有关。对领导的满意度较差与总体暴露于患者攻击的几率较高有关。这些发现对于调整几个护士和工作特征以及单位规模是稳健的。

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